Assignment Instructions: This assignment must be completed individually Please consider the suggested word count when responding to each part of the question. Please ensure you include a word count at the end of your assignment. The word count includes quotes (excluding the citation, e,g. Adams, 2015) and headings. It does not include appendices, contents page or reference lists Please ensure you pay close attention to the mark allocations in the marking rubric for assessment two You will be expected to use evidence-based resources to support your writing including in text referencing and a complete reference list Provide justification for all of your answers using current literature A minimum of 10 references should be used, with a maximum of 3 textbooks and 3 websites. If you undertake an appropriate literature search, you will be able to find many more than this. Please utilise the APA (6th) referencing guide for both in-text citations and reference list formatting. Assignment Case: Acute exacerbation of COPD. Mrs Lucienne Oporto is a 65 year old lady who has been admitted after presenting to hospital two days ago with shortness of breath, low oxygen saturation levels and flu like symptoms. She was on antibiotics for a suspected chest infection two weeks ago but was not compliant with medications and stopped taking them once her symptoms improved. This morning the physiotherapist reported Mrs Oporto refused to participate in her physio session because she is too tired and would rather rest in bed. The previous nurse noticed that she was disorientated to time and place. Mrs Oporto’s past medical history includes: Emphysema, Type 2 diabetes, hypercholesterolemia, hypertension, COPD, depression and osteoporosis. She is cognitively intact but speaks limited English. Socially, Mrs Oporto lives at home alone. Her husband recently passed away a few months ago. They use to run a chicken farm together. She has 2 adult children. Her son lives in Portugal. She has a daughter who is a single mother of 3 children who lives 30 minutes away and who visits Mrs Oporto almost daily. Mrs Oporto smokes 1 pack of cigarettes a week and eats out at the pub regularly. She especially likes attending Taco Tuesdays. Your assignment will need to include the following information: 1. What focused nursing assessments (body systems) would you conduct on Mrs Oporto. Choose one focused assessment and describe three (3) anticipated assessment findings for Mrs Oporto. Ensure you use appropriate literature to support your anticipated assessment findings (500 – 600 words) 2. Outline the pathophysiology of why Mrs Oporto’s COPD may have exacerbated related to her recent medical history (500 – 600 words). 3. Identify and discuss two (2) nursing care interventions you will need to undertake for Mrs Oporto during her hospital stay. Provide rationales for your interventions and how you would evaluate their effectiveness (600 – 700 words) 4. The interprofessional team that works with Mrs Oporto includes physiotherapists, pharmacists, occupational therapists, social workers and dieticians. Pick one member of the interprofessional team and discuss their role in safely discharging Mrs Oporto from hospital (300 - 400 words)

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